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"A Bad Experience with a Doctor"

About: Borders General Hospital / Rheumatology

(as the patient),

 I had an appointment with a Rheumatologist in the Borders General Hospital. I'd seen them once before and that time I'd been slightly put off by their expectation for me to liaise with my other specialists with regards to organising an MRI rather than just doing it.

On doing this, another specialist's secretary had remarked it was peculiar that they were expecting me to try and liaise between the two doctors rather than  doing it themselves.

At my most recent appointment, they told me that there was a drug therapy available to help with my ankylosing spondylitis, however as they were immunosuppressants they would not want to prescribe them as there was the possibility of me needing brain surgery. I told them that there were no official dates or schedule for this surgery and the mediation could be stopped if such a procedure was arranged, and they said that my neurologist would be consulted about this.

I asked if they had a contact for my neurologist, to which they retorted with "Well, don't you? ". The manner in which they asked this suggested that they thought it, again, was not their job to work together with my other specialists to integrate my care.

It finished with them again telling me it was my responsibility to go between other consultant's and try and organise my own care. I feel this is inappropriate and unprofessional. After this, I informed them that I had accidentally missed an appointment with a geneticist whom they had previously referred me to and asked if they would re-refer me.

They asked my reason for missing the appointment and when I explained I had forgotten amidst a period other health concerns and examinations at school, they told me that "forgetting wasn't a good enough excuse".

After this, the consultant informed me that as I was an adult now "I had to take responsibility for my own healthcare" and missing the appointment was "careless".They were unwilling to re-refer me to the Genetics Department and I wold have to follow up myself if it was something I was "interested in pursuing", even though this was genetic testing for Marfan Syndrome which could be playing a large part in my musculoskeletal pain, an area which as rheumatologist they are responsible for the treatment of.

Their manner throughout this appointment I believe was off-hand and rude. They made me feel that my health was of little interest, and I feel that their expectations of me to organise my own care are lazy and unprofessional on their part.

As a young person with multiple health issues I see a number of different specialists and health professionals, and I have never experienced this behaviour or manner before. Because of this, I also have a great number of appointments, often one every week which is detrimental to my learning, and therefore I try my hardest to try and organise my health care to fit with my school work, and as a result very rarely miss appointments. Their reaction to me missing this one appointment however I feel was inappropriate and unprofessional.

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Responses

Response from Dr Annabel Howell, Associate Medical Director, NHS Borders 6 years ago
Dr Annabel Howell
Associate Medical Director,
NHS Borders
Submitted on 26/06/2017 at 19:06
Published on Care Opinion on 30/06/2017 at 12:27


picture of Dr Annabel Howell

Dear albajackk,

Thank you for your story and I am sorry you did not have a good experience here, as that is what we always strive to do. I am part of the team responsible for medical services in the BGH and will answer some of your questions and concerns. I have been in contact with the team.

When someone needs a scan and has multiple health conditions, we feel it is important to liaise with other teams to ensure that we only perform these once and all at the same time to minimise disruption for you and ensure best use of these stretched services. We would be happy to deal directly with other teams, though some patients prefer to take the lead themselves. The different ways to proceed however should have been discussed with you. With regard to further genetics review, the team was just trying to ensure best use of the scarce resource of genetics and can of course refer you back, which I will ask them to do.

The use of immunosuppressants has a risk in terms of making you susceptible to infection particularly eg during surgery which is why the team wanted to ensure surgery was either carried out before this treatment or you would have to have a gap in the treatment for the surgery to happen. I am sorry that this part of the explanation was not clear and that we relied on you to communicate with other teams. I will ask that this communication is done through the rheumatology team.

Please do let me know if you require further information and if you have further feedback as to how we can improve services. As someone with multiple health conditions, unfortunately you will have used many of our services but your experience is invaluable to us with regard to improvement. You can contact me via the Feedback team on (01896) 826719

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